There are many things to consider whenever anyone starts treatment rather than a list of only four.<\/p>\n
Pregnancy doesn’t alter or change very much, other than perhaps not using one drug (efavirenz) during the first trimester.\u00a0The goal of treatment in pregnancy is to reduce viral load as low as possible before delivery. If viral load is undetectable, the risk of HIV transmission is reduced to less than 1%.<\/p>\n
In terms of deciding when to start treatment, this need to be early enough for viral load to be undetectable when the baby comes to be born. For women who become pregnant when not already on HIV treatment, this is usually after the first timester (ie after the first 12 weeks). Mourning sickness has usually reduced by then so that you are not having to deal with this when starting treatment.<\/p>\n
The other things to think about are based on getting a combination that is tolerable and easy to take, with few side effects. And, of course, infromation and support for adherence, so that you don;t miss doses of your meds.<\/p>\n